Patient is a 24-year-old nurse who underwent a previous rhinoplasty by another surgeon who despite his confidence and assurances, was not successful in making the patient happy. She specifically did not like her flat and masculine appearing nose that lacked feminine tip projection and did not appear “perky” as she was promised. She did not like her profile as she felt that her nose is dominated by a bump and a wide and downturned nasal tip that appears to droop more when she smiled. She wanted a more feminine nose that had more delicate contours with a smaller and upturned nasal tip that better complemented her facial features.
Procedure: Secondary Rhino/Septoplasty with softening of dorsal hump, narrowing of nasal bones and recontouring of nasal tip cartilages through suture techniques. It was necessary to utilize an autologous cartilage graft (cadaveric costal cartilage graft) to provide support in order to increase nasal tip projection and maintain long term tip support. The patient also underwent autogenous fat transfer to the lower eyes and periorbital region to soften longstanding hollowing and pigmentation. She was absolutely delighted with her results and that is truly the best part of my job!